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Is cancer treated under PM-JAY?

Submitted by on 21 January 2020

Yes, however the type and duration of treatment is different for all cancers. Cancer care treatments need to undergo a whole treatment plan approval similar to a ‘tumor board concept’ on the best course of patient management. A clinical treatment approval process is mandated for cancer care, since it involves a multi-modal approach covering surgical, chemotherapy and radiation treatments and appropriate supportive care that could assess to determine the best course of patient management for such conditions. Pre-authorization is mandatory for all packages involving cancer treatment. There would be 2-step approach for Pre-auth Pre-auth for the complete course of treatment mentioning the various stages of treatment and the detailed Oncology Treatment Plan Approval form has to be filled, signed & uploaded (Annexure 1) as part of Pre-auth Pre-auth has to be sought at each pre-defined stage / selecting package